Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
Home Research Research Library US family physicians’ intrauterine and implantable contraception provision: results from a national survey US family physicians’ intrauterine and implantable contraception provision: results from a national survey 2016 Author(s) Nisen, M B, Peterson, Lars E, Cochrane, Anneli, and Rubin, S E Topic(s) What Family Physicians Do Keyword(s) Sexual And Reproductive Health Volume Contraception Source Contraception OBJECTIVE: Establish a current cross-sectional national picture of intrauterine device (IUD) and implant provision by US family physicians and ascertain individual, clinical site and scope of practice level associations with provision. STUDY DESIGN: Secondary analysis of data from 2329 family physicians recertifying with the American Board of Family Medicine in 2014. RESULTS: Overall, 19.7% of respondents regularly inserted IUDs, and 11.3% regularly inserted and/or removed implants. Family physicians provided these services in a wide range of clinical settings. In bivariate analysis, almost all of the individual, clinical site and scope of practice characteristics we examined were associated with provision of both methods. In multivariate analysis, the scope of practice characteristics showed the strongest association with both IUD and implant provision. For IUDs, this included providing prenatal care with [adjusted odds ratio (aOR) 3.26, 95% confidence interval (95% CI)=1.93-5.49] or without (aOR=3.38, 95% CI=1.88-6.06) delivery, performance of endometrial biopsies (aOR=16.51, 95% CI=11.97-22.79) and implant insertion and removal (aOR=8.78, 95% CI=5.79-13.33). For implants, it was providing prenatal care and delivery (aOR=1.77, 95% CI=1.15-2.74), office skin procedures (aOR=3.07, 95% CI=1.47-6.42), endometrial biopsies (aOR=3.67, 95% CI=2.41-5.59) and IUD insertion (aOR=8.58, 95% CI=5.70-12.91). CONCLUSIONS: While a minority of family physicians regularly provided IUDs and/or implants, those who provided did so in a broad range of outpatient settings. Individual and clinical site characteristics were not largely predictive of provision. This connotes potential for family physicians to increase IUD and implant access in a variety of settings. Provision of both methods was strongly associated with scope of practice variables including performance of certain office procedures as well as prenatal and/or obstetrical care. IMPLICATIONS: These data provide a baseline from which to analyze change in IUD and implant provision in family medicine, identify gaps in care and ascertain potential leverage points for interventions to increase long-acting reversible contraceptive provision by family physicians. Interventions may be more successful if they first focus on sites and/or family physicians who already provide prenatal care, obstetrical care, skin procedures and/or endometrial biopsies. Read More ABFM Research Read all 2013 Do residents who train in safety net settings return for practice? Go to Do residents who train in safety net settings return for practice? 2018 Family Medicine and Obstetrics: Let’s Stop Pretending Go to Family Medicine and Obstetrics: Let’s Stop Pretending 2019 Residency Program Characteristics and Individual Physician Practice Characteristics Associated With Family Physician Scope of Practice: Go to Residency Program Characteristics and Individual Physician Practice Characteristics Associated With Family Physician Scope of Practice: 2025 Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011–2019 Go to Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011–2019
Author(s) Nisen, M B, Peterson, Lars E, Cochrane, Anneli, and Rubin, S E Topic(s) What Family Physicians Do Keyword(s) Sexual And Reproductive Health Volume Contraception Source Contraception
ABFM Research Read all 2013 Do residents who train in safety net settings return for practice? Go to Do residents who train in safety net settings return for practice? 2018 Family Medicine and Obstetrics: Let’s Stop Pretending Go to Family Medicine and Obstetrics: Let’s Stop Pretending 2019 Residency Program Characteristics and Individual Physician Practice Characteristics Associated With Family Physician Scope of Practice: Go to Residency Program Characteristics and Individual Physician Practice Characteristics Associated With Family Physician Scope of Practice: 2025 Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011–2019 Go to Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011–2019
2013 Do residents who train in safety net settings return for practice? Go to Do residents who train in safety net settings return for practice?
2018 Family Medicine and Obstetrics: Let’s Stop Pretending Go to Family Medicine and Obstetrics: Let’s Stop Pretending
2019 Residency Program Characteristics and Individual Physician Practice Characteristics Associated With Family Physician Scope of Practice: Go to Residency Program Characteristics and Individual Physician Practice Characteristics Associated With Family Physician Scope of Practice:
2025 Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011–2019 Go to Impact of Community Health Center Losses on County-Level Mortality: A Natural Experiment in the United States, 2011–2019
